Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Hip 721 articles


Medicine versus Orthopaedic Service for Hospital Management of Hip Fractures

Cynthia H. Chuang MD, MSc, Gregory J. Pinkowsky MD, Christopher S. Hollenbeak PhD, April D. Armstrong MD, MSc, FRCSC

Hospital care of patients with hip fractures often is managed primarily by either a medicine or orthopaedic service, depending on the institution. Whether complication rates, length of stay, or time to surgery differs on different services is unknown.

High Long-term Survival of Bulk Femoral Head Autograft for Acetabular Reconstruction in Cementless THA for Developmental Hip Dysplasia

Mitsunari Kim MD, Toru Kadowaki MD

Deficient acetabula associated with acetabular dysplasia cause difficulty achieving adequate coverage of the acetabular component during THA. Autografting with the removed femoral head has been used for several decades to achieve better coverage, but the long-term benefits of this technique remain controversial, with some series reporting high rates of graft resorption and collapse.

Second-generation Highly Cross-linked X3™ Polyethylene Wear: A Preliminary Radiostereometric Analysis Study

David G. Campbell BM, BS, FRACS, PhD, John R. Field MSc, BVSc, DVSc, PhD, Stuart A. Callary BAppSc

First-generation highly cross-linked polyethylene liners have reduced the incidence of wear particle-induced osteolysis. However, failed acetabular liners have shown evidence of surface cracking, mechanical failure, and oxidative damage. This has led to the development of second-generation highly cross-linked polyethylene, which has improved wear and mechanical properties and resistance to oxidation in vitro. Owing to its recent introduction, there are no publications describing its clinical performance.

Case Report: Neuropathic Arthropathy of the Hip as a Sequela of Undiagnosed Tertiary Syphilis

Nicholas A. Viens MD, Tyler Steven Watters BA, Emily N. Vinson MD, Brian E. Brigman MD, PhD

Neuropathic arthropathy is characterized by rapidly progressive bone destruction in the setting of impaired nociceptive and proprioceptive innervation to the involved joint. It is seen most commonly in the foot and ankle, secondary to peripheral neuropathy in patients with diabetes mellitus. Other less common sites of involvement may include the knee, hip, shoulder, and spine, depending on the underlying etiology. Neuropathic arthropathy can be associated with tabes dorsalis, a unique manifestation of late, tertiary neurosyphilis that may arise in individuals with untreated syphilis many years after initial infection, and usually involves the knee, or less commonly, the hip.

Case Report: Osteonecrosis of the Femoral Head after Hip Arthroscopy

Danielle L. Scher MD, Philip J. Belmont MD, Brett D. Owens MD

Hip arthroscopy is a common orthopaedic procedure used as a diagnostic and therapeutic tool with a multitude of surgical indications. The complication rate is reportedly between 1.3% and 23.3%. Major complications are related to traction, fluid extravasation, and iatrogenic chondral injury. Although osteonecrosis is a concern with any surgical procedure about the hip, this complication has been primarily a theoretical concern with hip arthroscopy.

Is There a Role for Tissue Biopsy in the Diagnosis of Periprosthetic Infection?

Geert Meermans MD, Fares S. Haddad BSc, MCh (Orth), FRCS (Orth)

Successful treatment of an infected joint arthroplasty depends on correctly identifying the responsible pathogens. The value of a preoperative biopsy remains controversial.

Back Pain and Total Hip Arthroplasty: A Prospective Natural History Study

Javad Parvizi MD, Aidin E. Pour MD, Alan Hillibrand MD, Grigory Goldberg MD, Peter F. Sharkey MD, Richard H. Rothman MD, PhD

Many patients with degenerative joint disease of the hip have substantial degeneration of the lumbar spine. These patients may have back and lower extremity pain develop after THA and it may be difficult to determine whether the source of the pain is the hip or spine.

Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population

Kosuke Tsuda MD, Tomio Kawasaki MD, Nobuo Nakamura MD, Hideki Yoshikawa MD, Nobuhiko Sugano MD

The clinical importance of asymptomatic deep venous thrombosis in elective hip surgery is not clearly known.

Femoral Shortening in Total Hip Arthroplasty for High Developmental Dysplasia of the Hip

Olav Reikerås MD, PhD, Jarl Erik Haaland MD, Paul Lereim MD, PhD

When reconstructing a hip with developmental dysplasia with a high dislocation, placing the acetabular component in the anatomic position can result in a prosthetic hip that is difficult to reduce. Subtrochanteric femoral osteotomy and shortening makes reduction easier but can be associated with complications (eg, limp, sciatic nerve injury, nonunion of the osteotomy) or compromise long-term stem survival.

Subchondral Insufficiency Fracture of the Femoral Head may be Associated with Hip Dysplasia: A Pilot Study

Kohei Ishihara MD, Keita Miyanishi MD PhD, Hidetoshi Ihara MD, Seiya Jingushi MD PhD, Takehiko Torisu MD PhD

Subchondral insufficiency fracture of the femoral head occurs mainly in elderly patients with osteoporosis. Spontaneous resolution is observed after nonoperative treatment in some patients whereas other show progressive joint destruction requiring THA. Several studies report the occurrence of subchondral insufficiency fracture of the femoral head in dysplastic hips.